Chapter 18 - Test Name: Assisting With Hygiene Date:

1. What is the first line of defense against infection? A) Healthy skin B) Good nutrition C) Oral antibiotics D) Daily exercise

2. When is it most appropriate for a resident to bath? A) After dinner B) Before breakfast C) Whenever he or she wants to D) As a part of getting ready for bed

3. When is it most appropriate to provide oral care to a person? A) During evening care B) Before and after a meal C) During early morning care D) Whenever the person requests it

4. The nursing assistant makes it possible for a resident to read in bed before turning out the lights. This shows that the nursing assistant's professional attitude supports A) efficiency in the workplace. B) caring and compassion. C) respect for the facility's policies. D) reading as a valuable recreational activity.

5. Which of the following residents would most likely require PRN (as- needed) hygiene care? A) A person who is capable of managing his or her activities of daily living (ADLs) B) A person who wishes to bathe in the evening instead of in the morning C) A person with specific religious requirements with regard to bathing D) A person who is incontinent of urine and stool

6. A resident refuses to take a bath, stating that he or she is tired and wants to sleep. The nursing assistant will first A) insist that he or she bathe. B) allow him or her to skip the bath. C) report his or her refusal to the nurse D) suggest the bath be postponed until later.

Page 1 7. Poor oral hygiene puts a person at risk for all of the following EXCEPT A) crooked teeth. B) gum disease. C) bad breath. D) tooth loss.

8. Flossing once a day is recommended for people with natural teeth because A) brushing alone is not enough to remove food that lodges between the teeth. B) flossing helps to keep the mucous membranes moist and healthy. C) brushing helps keep natural teeth shiny and white. D) flossing helps to kill bacteria in the mouth.

9. The nursing assistant avoids placing his or her fingers in the mouth of an unconscious patient while providing oral care because A) it makes it difficult for an unconscious person to breathe effectively. B) the lips of the unconscious person are sensitive and they might crack. C) an unconscious person may bite down involuntarily and without warning. D) placing your fingers in the mouth of an unconscious person can lead to aspiration.

10. At what angle is the toothbrush held against the teeth? A) A 45-degree angle B) A 30-degree angle C) A 90-degree angle D) A 180-degree angle

11. Why is it important for the nursing assistant to wear gloves when assisting a person with oral care? A) The person may cough. B) The person's gums may bleed. C) To keep the nursing assistant's hands from getting chapped D) To protect the person from pathogens on his or her hands

12. Dentures should be stored in A) hot water. B) lukewarm water. C) disinfectant solution. D) full strength mouthwash.

Page 2 13. How should the head of an unconscious person be positioned during oral care? A) Turned to the side B) Facing straight ahead C) With the chin tilted back D) With the chin tilted toward the chest

14. What would the nursing assistant do to preserve the person's sense of modesty while providing perineal care? A) Explain the procedure in detail. B) Drape the person's body with a bath blanket. C) Perform the care in a stern but professional manner. D) By keeping up a lively conversation during the bath.

15. What is circumcision? A) Removing the foreskin of the penis B) Cleaning and rinsing process used on the penis C) The fold of loose skin that covers the head of the penis D) A tight band around the penis that causes pain and swelling

16. How is the vulva appropriately washed? A) Stroking from the top toward the anus, cleaning each side and then the middle B) Stroking from the bottom up, cleaning the middle and then each side C) Stroking from the bottom up, cleaning each side and then the middle D) Stroking in a circular motion over the entire area

17. How is the anal area cleaned when giving a complete bath? A) By moving from the front of the body toward the back B) By having the area sprayed with warm water C) By having the person sit in the wash basin D) By moving in a circular motion

18. When is perineal care completed? A) At the beginning of the bath B) Before the back is washed C) After the feet are washed D) At the end of the bath

Page 3 19. What is the proper water temperature when providing perineal care as a part of a bed bath? A) 100°F to 90°F B) 110°F to 115°F C) 120°F to 125°F D) 130°F to 140°F

20. Which of the following products is often used to cleanse the perineal area? A) Soapless cleanser B) Antibiotic creams C) Deodorant D) Bath oil

21. Why is body powder used after a bath or shower? A) To create a moisture barrier that helps to prevent drying and chapping B) To reduce friction between the skin and surfaces that touch it C) To cover or mask any reoccurring body odor D) To stop or slow the secretion of sweat

22. Which of the following body parts is NOT washed during a partial bath? A) The face B) The axillae C) The abdomen D) The buttocks

23. A resident is able to complete most of his or her bath by himself or herself but does need help getting into and out of the tub. What is the maximum amount of time the nursing assistant allows the resident to remain in the bathtub? A) 5 minutes B) 10 minutes C) 20 minutes D) 30 minutes

24. It is true that when assisting a person with bathing the nursing assistant will A) lock the door to the tub room to provide privacy for the person. B) open the curtains or blinds in the tub room to let the sunshine in. C) test the temperature of the water by asking the resident if it is too hot. D) check the nursing care plan to find out what type of bath the person is to receive.

Page 4 25. What is the proper water temperature for a tub bath or shower? A) 70°F to 85°F B) 90°F to 100°F C) 105°F to 115°F D) 125°F to 135°F

26. Doing which of the following while bathing a resident would indicate that the nursing assistant needs additional instructions on the techniques of bathing? A) Patting the skin dry B) Rinsing the skin thoroughly C) Monitoring the temperature of the water D) Washing from the dirtiest to the cleanest areas

27. Being encouraged to brush his or her own teeth supports a patient's sense of self-worth as well as A) frees up some of the nursing assistant's time. B) increases the muscle tone in his or her arms. C) encourages him or her to eat fewer sweets. D) occupies some of his or her time.

28. The nursing assistant is providing oral care for a resident who requires minimal help with brushing his or her own teeth. The resident's self-worth is best supported when the nursing assistant A) provides oral care every 2 hours. B) uses the resident's favorite toothpaste. C) provides oral care each time the resident eats. D) talks with the resident when performing oral care.

29. How often does an unconscious patient require oral care? A) 4 to 5 times a day B) Every 1 to 2 hours C) Before meals and at bedtime D) When receiving his or her medication

30. What does the term edentulous mean? A) Without teeth B) With dentures C) Missing some teeth D) The presence of natural teeth

Page 5 31. The nursing assistant providing perineal care should immediately report to the nurse any A) usual discharge from the vagina or the penis. B) request by the client to wash the area himself or herself. C) indications that the resident is embarrassed by the care. D) request by the resident for additional cleaning of the area.

Page 6 Chapter 18 - Test Assisting With Hygiene

Faculty Use Only

Answer Key

1. A 2. C 3. D 4. B 5. D 6. D 7. A 8. A 9. C 10. A 11. B 12. B 13. A 14. B 15. A 16. A 17. A 18. D 19. B 20. A 21. B 22. C 23. C 24. D 25. C 26. D 27. B 28. B 29. B 30. A 31. A